Identifying Patient Education Needs in Hypertension Management

ECU Author/Contributor (non-ECU co-authors, if there are any, appear on document)
Amanda Mitchell (Creator)
East Carolina University (ECU )
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Abstract: Purpose: Hypertension is one of the most commonly treated chronic diseases by primary care providers , with approximately half of those patients being uncontrolled. The purpose of this DNP quality improvement project is to implement the Hill-Bone Compliance Scale in a rural primary care practice to determine patients' individual learning pertaining to managing their hypertension. Methodology: One MD , 1 RN , and front office staff were educated on the Hill-Bone Compliance Scale and the process for practice implementation. Patients with the diagnosis of hypertension were given a copy of the scale to complete prior to their appointment with the provider. Results: The Hill-Bone Compliance Scale measures 3 domains of hypertension management: sodium intake , medication adherence , and appointment adherence. At the conclusion of the project , 76.9% identified low sodium intake as an area of non-adherence , 65.4% identified medications as an area of non-adherence , and 15.4% identified appointment keeping as an area of non-adherence. Implications: Findings suggest that both low sodium diet and medication adherence as the greatest areas of concern. Further data is needed to examine what factors are contributing to patients' non-adherence in these areas. The Hill-Bone Compliance Scale offers a starting point in identifying areas of need.

Additional Information

Language: English
Date: 2019
Hypertension, self-management, patient education

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